Effectiveness of a Clinical Decision Support System for Pointing Device Prescription.

OBJECTIVE. We present a novel, knowledge-driven approach to prescription of pointing devices that uses the Ontology-Supported Computerized Assistive Technology Recommender (OSCAR), a clinical decision support system (CDSS). METHOD. Fifty-five occupational therapists were divided into four groups: tw...

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Published in:American Journal of Occupational Therapy Vol. 69; no. 2; pp. 1 - 8
Main Authors: Danial-Saad, Alexandra, Kuflik, Tsvi, Weiss, Patrice L., Schreuer, Naomi
Format: research tables/charts Journal Article
Published: American Occupational Therapy Association Mar/Apr2015
Online Access:View this record in EBSCOhost
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      dt: Mar/Apr2015
      vid: 69
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Effectiveness of a Clinical Decision Support System for Pointing Device Prescription.
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          Danial-Saad, Alexandra
          Kuflik, Tsvi
          Weiss, Patrice L.
          Schreuer, Naomi
        affil: Lecturer, Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa, Israel
      sug:
        subj:
          Decision Support Systems, Clinical Utilization
          Occupational Therapy
          Assistive Technology Devices
          Clinical Assessment Tools
          Instrument Validation
          Human
          Israel
          Funding Source
          Occupational Therapists
          Expert Clinicians
          Comparative Studies
          Decision Making, Clinical Evaluation
          Prospective Studies
          Adult
          Middle Age
          International Classification of Functioning, Disability, and Health
          Validation Studies
          Scales
          Educational Status Evaluation
          Instrument Construction
          Case Studies
          Questionnaires
          Summated Rating Scaling
          Female
          Male
          Adolescence
          Child, Preschool
          Aged
          World Wide Web
          Videorecording
          Data Analysis Software
          Descriptive Statistics
          Mann-Whitney U Test
          P-Value
          Learning Methods
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Child, Preschool: 2-5 years
          Aged: 65+ years
          Female
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      ab: OBJECTIVE. We present a novel, knowledge-driven approach to prescription of pointing devices that uses the Ontology-Supported Computerized Assistive Technology Recommender (OSCAR), a clinical decision support system (CDSS). METHOD. Fifty-five occupational therapists were divided into four groups: two assistive technology (AT) expert groups and two novice groups. Novice Group 1 used the OSCAR CDSS for the prescription process, and Novice Group 2 used the conventional method. OSCAR’s effectiveness and its impact on users were evaluated. RESULTS. The ability of Novice Group 1 to make suitable pointing device prescriptions was similar to that of the two expert groups and was significantly better than that of Novice Group 2. The system positively affected Novice Group 1’s learning of the prescription process. CONCLUSION. The structure and organized framework for clinical reasoning of the OSCAR CDSS appear to enable occupational therapy practitioners inexperienced in AT to achieve performance levels comparable to those of expert
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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